| NPI | 1821506965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNIE M HUGHES Director/Counselor 808-754-6720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NE 4803) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IA 089415) | |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2022-08-08 |